London School Of Hygiene And Tropical Medicine Confirmation Of Acceptance Of Studies Request Form

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_________________________________________________
CONFIRMATION OF ACCEPTANCE OF STUDIES
REQUEST FORM
_________________________________________________________________________
CHECKLIST BEFORE COMPLETING AND SENDING THIS FORM
I have met all the conditions of your offer for full-time study at LSHTM
I have read the UKVI Tier 4 Policy Guidance
I have checked whether I need to undergo TB screening under UK Home Office rules
I have read the School's CAS Guidance and CAS Policy for Applicants
If necessary I consent to the School discussing my immigration history with the UK Home Office
A. APPLICANT DETAILS
Applicant Name:
_______________________________________________________________
Applicant Reference:
_______________________________________________________________
Email Address:
_______________________________________________________________
B. PASSPORT DETAILS AND PREVIOUS VISA APPLICATIONS
You must submit a copy of the following documents with this form:
Front cover of the passport
Personal details and photograph page
Any UK visa(s) - past and/or present
Any UK immigration stamps in your passport
Financial evidence of course fees and living costs
(If you are submitting electronic copies of these documents, please send them as PDF scans)
1. Have you previously applied for a visa and been refused?
Yes
No
If yes: please provide details below
If no: please move on to section C
Type of Visa (e.g. Tier 4 Student Visa):
Date of Visa Application:
Name of Embassy/High Commission where application was processed:
Reason(s) for Refusal:
Outcome of Appeal/Administrative Review (if applicable):
If you have been refused a visa more than once, please continue on a separate sheet.

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